Camden Medical Building, Inc | |
79 W Central Ave Camden OH 45311-1007 | |
(937) 452-1201 | |
(937) 452-0004 |
Full Name | Camden Medical Building, Inc |
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Speciality | Family Medicine |
Location | 79 W Central Ave, Camden, Ohio |
Authorized Official Name and Position | James W Thomson (OWNER) |
Authorized Official Contact | 9374521201 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Camden Medical Building, Inc 79 W Central Ave Camden OH 45311-1007 Ph: (937) 452-1201 | Camden Medical Building, Inc 79 W Central Ave Camden OH 45311-1007 Ph: (937) 452-1201 |
NPI Number | 1336338029 |
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Provider Enumeration Date | 10/18/2007 |
Last Update Date | 03/27/2024 |
Medicare PECOS PAC ID | 3971536442 |
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Medicare Enrollment ID | O20050914001444 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336338029 | NPI | - | NPPES |
0115293 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | James W Thomson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710089800 PECOS PAC ID: 3870550676 Enrollment ID: I20110316000537 |
Provider Name | Ashley N Simpson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205352465 PECOS PAC ID: 2860765625 Enrollment ID: I20190311002261 |
Thomson Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 79 W Central Ave, Camden, OH 45311 Phone: 937-452-1201 Fax: 937-452-0004 |